Wow, this thread has almost made my brain explode. I'm still struggling to understand the core concepts here, so all I will do is offer my opinion on the various ways in which various treatments might intersect with some spiritual concepts that I think I am seeing here. And I will include the disclaimer that, since I am still not fully grasping the issue, some of what I say may be irrelevant, or born of a misunderstanding of what's being discussed, and beg to be corrected where wrong.
There is an NPR podcast, relatively new, which I won't name because I thought it was terrible and saturated with pseudoscience, but the first episode profiled somebody with Obsessive Thoughts Syndrome, or OTD. (They didn't call it that in the show, but I've since learned it does have that formal name.) His first attempt at treatment was with psychoanalysis, which I have seen mentioned in the thread already; a treatment based on the premise that every thought one has has meaning of some sort, and the primary objective (as I understand it) is to seek out the sources of these thoughts, many of which are likely buried deep within the subconscious. Now, this man's particular manifestation of OTD involved a fear that he would, out of the blue, snap and decide to kill someone. He had a few sessions with this psychoanalyst before she stopped returning his calls. What worked for him was "mindfulness therapy," which as I understand it is based on a lot of Buddhist/Taoist practices, and emphasizes that the majority of thoughts we have ARE meaningless, coming out of nowhere. Meditation plays a large role in the treatment, and he found this much more helpful, even to the point where he finally began to be able to function normally...the thoughts were still there, but for the most part, he was able to live with it and lead a full life with his partner (whom he had always feared he would kill). Psychoanalysis in its purest form is now on the fringes of therapy, though of course aspects of it are still being used to great effect.
Now, from my own experience and opinions... Neuroscience, I am told, is by far the fastest-growing, most cutting-edge field of science we have today. I don't know if you could call me a "materialist," or a "skeptic," or what, but I think everything that happens in our brains has a purely physical component. In my own case, I know this from EEGs, MRIs, and experimentation with psychotropic medications. As for how a particular disease might manifest itself, or when, or why...that's another area that is being closely studied and I truly don't know. It seems, based on my research, that while there are genetic, physiological risk factors, sometimes the environment DOES play a role, or how early one is able to begin treatment. (I had a link, but dammit, I lost it!) So it's the nature/nurture thing, which of course is not an actual dichotomy and they are not mutually exclusive. As for management of my symptoms? Medication, again, physiological intervention, has proven indispensable; but only in combination with other therapies...CBT, for example, but even more so, mindfulness. I don't think any mental illness can be treated without some form of self-awareness as well, and in many cases yes, I do think medication is grossly overused, and therapy and lifestyle management grossly underused.
All this to say: Hell, I don't really know what to think! I'm just putting these things out there in the hope for some clarification.
There are no easy answers I'm afraid. There is a question I can ask here at the beginning that may help lead to a better grasp, it is this...
"Can you define the process that was used to diagnose your ASD, in detail?"
Simple enough question, one I asked myself ten years ago, my answer was surprising, so I'd like to hear yours.
Some clarification.
Shamanism, when investigated, is not a spiritual process. At least not in the way that one thinks of it. The reason Jung took to shamanic reasoning was that at it's core it is, to put it simply, a form of psychoanalysis. Obviously, cultural necessity bonds both dogma and spiritual needs to any system where one believes there is an 'occult' (
hidden) viewpoint.
I did mention earlier that shamans prize their knowledge, after all, it's what keeps them in a job, and so they tend to keep it a secret. So I shall break a rule or two, and in doing so include some modern comparisons.
Certain words have a 'charge' that is built up over time, that charge may be unique to an individual or be defined by a culture. One of those words is '
spirit'. Shamans do not talk to spirits, end of, they may refer to them as such or their tribe may do so, but it is not what happens.
I know you said you are a black and white science guy so we'll keep it within classic science. It is accepted that the mind is primarily divided into two zones. The self aware or conscious mind, and the unaware subconscious mind. These two are subject to further bifurcation, but that can wait.
It is accepted by the man in the street that everything that happens is available to the individual in their self aware state, of course, science says 'it ain't so'. On the simplest level we have two worlds, one that we believe we function within and call the real world, and one that resides in our subconscious as our imaginary world.
What is the neurological, scientific difference between the two? Answer = Nothing.
That is the answer of leading edge neuroscience. Real world stimuli and imaginary world stimuli have exactly the same biological, chemical and electrical effects upon the organism as a whole.
Of course, there are sufficient historical medical conditions to support the initial finding, one such is
stigmata.
There was a time when the appearance of stigmata was relatively common, it could lead towards sainthood in some cases, and yet we know now that the marks, bruising, bleeding associated with it has a purely neurobiological origin. Either the conscious mind created it through emotional trauma or the subconscious did. There is no ground whatsoever for proposing a purely logic based neurological cause, why would nature need stigmata?
Moving on, the mind and it's division use different base tools to organise themselves. Conscious mind uses language more than imagery, whilst the reverse is true for the subconscious, and it is here we see the need for a kind of buffer zone. The subconscious wants to pass information, it sends a picture, a movie perhaps. Whereas the conscious mind has 'internal dialogue'.
I'm sure your aware of pareidolia, the ability to recognise faces from a limited amount of data. It's an evolved survival technique, very useful. That same technique lets us see faces in clouds, on Mars, a loaf of bread or bowl of porridge. It is also the same process that lets us anthropomorphize the world at large. It's all about safety.
The subconscious mind knows that we can do those things so it uses images to convey information from the subconscious, those images are what I referred to earlier as archetypes. In and of themselves the visual data of an archetype is less important than the neurobiological data it represents.
Look at this -
All it is is an image, nothing more, to the uneducated it means nothing whatsoever. But, that image has an underlying truth/data that can be accessed instantly by the mind of someone who knows what
Pi is. Pi is an archetypal pattern, as it can mean nothing else than what it is, yet its effect exists within virtually the whole of our 'real' world, unseen.
Here's another symbol -
A few million people can tell you the whole story from that image.
Science and faith use the same tools, that of the
logo.
I'll try to create a simple example, it wont be perfect. Let us say that the subconscious wants us to know, on a conscious level, that there is a 'problem' within us. We have already seen that it can't just tell us verbally, so it creates a logo/archetype to represent the issue. In order to do that it searches the memory for things that may relate to the issue and synthesises it. Then it dumps it into our conscious state whilst we sleep, we know these as dreams.
What if we ignore our dreams though?
Then the subconscious mind, depending upon the level of severity, might 'punch' the logo into our conscious waking time. Sometimes these are in the form of hallucinations, but they can also be as physical manifestations of distress.
Agreed, 99% of thoughts running through your conscious mind are unimportant, well, unless you're researching awareness of self. That 1%, however, could kill you if you don't pay attention.
I really need breakfast and to get ready, hopefully this helped clarify some things